What will new 'smart' implants mean for hearing loss patients
Supplied
New Zealanders can now get access to what's being described as the first "smart" hearing implant system.
The Nuclear Nexa implant has been manufactured by global hearing device company Cochlear, and is the only cochlear implant with internal memory and upgradeable firmware.
It means a user's personal settings can be stored on the implant itself, and the firmware can be upgraded when needed - rather than replaced.
One in five Kiwis are living with some form of hearing loss, with early diagnosis touted by experts as the best way to slow the decline.
To discuss the technology, I'm joined by Stu Sayers, president of Asia Pacific and Latin America region at Cochlear.
Also joining, is Michel Neeff, an ear, nose and throat surgeon and clinical director of the Northern Cochlear Implant Programme for Adults in Auckland.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Otago Daily Times
an hour ago
- Otago Daily Times
Mental health crisis service introduction announced
Associate Health Minister with responsibility for Rural Health and Minister for Mental Health Matt Doocey announced this week a new mental health crisis support service will be introduced in Oamaru next month. Mr Doocey was in Oamaru as part of the rural health roadshow that is travelling across the country. "The rural health roadshow is an opportunity for me to hear direct feedback from the public and those who are working in rural health about what's working well and where the barriers may be. The roadshow is also a great opportunity to hear how well the rural health strategy is being implemented," Mr Doocey said. He started the roadshow in Levin and then visited Wairoa and Wānaka. He was excited to be in Oamaru to hear from the community and people working in rural health. About 100 local health professionals and residents turned out for the meeting. "It was a great meeting," Mr Doocey said. He said the nature of such public meetings was unpredictable, as neither he nor the health officials from Health New Zealand and the Ministry of Health knew what topics people would bring up. However, it turned out to be "a real broad mix". "One issue raised was around crisis, mental health crisis support and wanting to make sure in Oamaru there was the availability of support because, of course, people can go to the emergency department or to Wakari [mental health facility in Dunedin] if they need it but it was really good to be able to announce that a new crisis support service is going to be rolled out in Oamaru, through the local Pasifika community service and that it will allow people who call up to be able to receive a local crisis response." The service will start on August 1. Waitaki MP Miles Anderson said he was pleased the crisis service would be available for Waitaki people. "This service is a result of local advocacy by the likes of Stronger Waitaki, which will take pressure off our emergency department and other agencies. Mr Doocey said the roadshow built on initiatives already in train to improve rural healthcare services. "Budget 2025 delivered for Kiwis living in rural and remote communities. The government is investing $164million over four years to strengthen urgent and after-hours care nationwide, meaning 98% of Kiwis will be able to access these services within one hour's drive of their home. "We are also improving access to primary care, including access to 24/7 digital care, training more new doctors and investing to increase the number of nurses in primary care. "The third area where there was some discussion was the travel-assistance programme," Mr Doocey said. "It's been a common theme from the four roadshow meetings we've done that it is probably time to review the travel-assistance programme." That included wider discussion around travel and accommodation assistance, he said. While the allowance was recently increased from $120 to $140, people still felt they needed greater support. "So it is something we said we'd take away and look at because we've actually heard it in the other meetings as well."


Otago Daily Times
an hour ago
- Otago Daily Times
IT experts developing revolutionary technology
Two New Zealand-based IT experts are working on a ground-breaking technology that promises to revolutionise computing by creating a computer inside a computer memory chip. The innovative project, known as SADRAM (Symbolically Addressing DRAM), is being developed in Oamaru and could dramatically change how data is processed worldwide. Dr Robert Trout and Nicolas Erdody bring more than a century's combined experience in information technology to the ambitious endeavour. Dr Trout is the original inventor of SADRAM, a new type of memory chip architecture that can organise, access and even process data internally — without relying heavily on traditional central processing units (CPUs) to micromanage operations. "This is a paradigm shift," Dr Trout said. "Instead of the CPU managing every step of data processing, SADRAM moves computing power closer to the memory itself." Nicolas Erdody, director of Open Parallel and a key partner on the project, elaborated on the current state of computing technology. "Multicore processors, with multiple CPU cores on a single chip, have been the norm in phones, laptops and supercomputers for decades," he said. "But this architecture has barely changed in 50 years, and CPUs have hit a performance wall." Mr Erdody said designers could no longer extract significant improvements or better efficiency using the old designs. "SADRAM's architecture addresses these limitations head on." The new "information architecture and concept" behind SADRAM was designed to boost performance, reduce energy consumption and streamline the computing processes that modern technologies demanded. By embedding computation directly within the memory chip, the technology could reshape everything from artificial intelligence to data centre operations. Mr Erdody's company, Open Parallel, was selected in 2012 by the New Zealand government to help design software for the Square Kilometre Array (SKA), the world's largest radio telescope project. The company worked on SKA until 2019. He also directs the annual Multicore World Conference held in New Zealand, which attracts leading global thinkers in computing innovation. Originally from Uruguay, Mr Erdody has lived in Oamaru for over two decades with his family. He met Dr Trout earlier this year at the Multicore World Conference in Christchurch, where the two "like-minded" experts decided to collaborate on further developing SADRAM technology from North Otago. "We're jamming like musicians in a band — when like-minded people come together, ideas flow naturally," Mr Erdody said from their shared office space at the Business Hive in Oamaru's Thames St. Dr Trout, who hails from Palmerston North but now lives in Hamilton after decades in the United States, holds the worldwide patent for the SADRAM concept. Over his career, he has built several tech companies and pioneered novel computing architectures. As founder and president of Pico Computing Inc (2004-15), he developed FPGA (field-programmable gate array) products widely used in cryptography, genetic analysis and CPU acceleration. "FPGAs can outperform conventional CPUs in many specialised tasks," Dr Trout said. "The real revolution in computing came in the 1970s when the industry shifted from discrete components to printed circuits, separating design from fabrication. This enabled exponential growth in computing power for the past 50 years." But he warns: "We are now hitting physical and quantum limits. We cannot keep squeezing more performance from the same old CPU-centric design." The pair are focused on designing cost-effective technology to overcome these challenges. Their plan includes creating a company, hiring experts and developing hardware kits — either manufacturing them or licensing the design to major industry players such as Samsung. "The big picture is to build a design centre in New Zealand that proves cutting-edge tech can be developed anywhere. We want to inspire future generations to innovate locally with global impact," Mr Erdody said.

RNZ News
11 hours ago
- RNZ News
Money spent on locum doctors could be used to attract and retain permanent staff
Health NZ has spent almost $45m on locum doctors in the Midlands Te Manawa Taki region including Waikato, in less than a year. Photo: Supplied/ Waikato Hospital The amount of money Health New Zealand is spending each year on locum doctors to plug staff shortages is increasing by tens of millions of dollars a year, and could reach $200 million this year. RNZ has obtained figures that show the spend on fill-ins is rising fast, leading a frontline doctor and the senior doctors' union to voice frustration. Dr Ralston D'Souza is a rural hospital medicine specialist at Taupō Hospital, where a shortage of senior doctors means there's a revolving door of locums. "The frustration though is that we're being told constantly there's no money to improve recruitment and retention of our permanent staff in terms of any initiatives, but there's no limit, it seems, at spending money on locums." Health's a big-budget item. It's expected the government will spend $32.7 billion in the 2025-26 financial year. The figures RNZ has obtained show in the 2022-23 financial year, the cost of "outsourced specialist medical staffing" was more than $150 million. It was more than $183m in 2023-24 and for the nine months to March in the 2024-25 financial year it climbed over $155m, meaning it was on track to break $200m for the full year. Health NZ doesn't "hold records centrally" before its creation in July 2022, when locum spends were managed by district health boards. D'Souza wasn't surprised to see that growth. "We know on the ground that locums probably get paid three to four times more than a permanent staff member, but the locums don't actually do anything apart from service delivery. "They don't contribute to the training of the other staff, including resident [junior] doctors, and they don't improve the quality of the service in terms of quality-improvement initiatives." Health NZ won't release its full list of rates for locum work, but has given RNZ a summary, which shows junior doctors get between $55 and $130 an hour, and seniors between $1500 and $3000 a day. D'Souza wants officials to think about why it's so difficult to recruit and retain permanent specialists. "Health New Zealand seems to be spending a lot of resources on being reactive when a gap occurs, but they're not spending as much resource on being proactive - understanding why the gap has occurred in the first place." Health NZ's interim chief human resources officer Fiona McCarthy said although Health NZ would rather employ permanent medical specialists, locums had been used for decades. "Locums for specialist medical staffing are used for a diverse range of medical specialities, including general surgeons, anaesthetists, psychiatrists, sonographers, cardiologists amongst many others," she said. "Reasons for employing a locum can include staffing gaps due to sickness, leave or unfilled posts. "Locums are most often required for weekend and acute calls. At times locums can also be employed to address surges in demand or reduce waitlists." McCarthy said there were "long-standing workforce challenges" in some specialist areas, and officials were "working at pace to address this to ensure the needs of local communities continue to be prioritised". Health NZ grew its clinical workforce by 1689 full-time equivalent staff members in the 2024 calendar year, she said. The senior doctors' union head Sarah Dalton says there's a large number of locums working in New Zealand. Photo: LDR / Stuff / Kevin Stent Association of Salaried Medical Specialists executive director Sarah Dalton said the problem of specialist shortages was sizeable. "If you want to think about how many locums are being paid in a year to work in our system, we were looking at the numbers and thinking that's the equivalent of the entire medical staff of either Waikato or Waitematā districts." RNZ asked Health NZ for the number of locums it uses, but it said it didn't have that information, instead providing full-time equivalent figures that show 374 FTEs were used in the first nine months of the 2024-25 financial year, and 380 the previous year. It did, however, provide regional breakdowns, and in the 2024-25 year's first nine months the largest locum spend was in Te Manawa Taki Midlands region, at just under $45m. The region includes Waikato, Bay of Plenty, Lakes, Taranaki and Tairāwhiti. The central region, including Palmerston North, Whanganui and Wellington, spent just over $44m. RNZ also asked for a breakdown in figures by speciality, but was told this couldn't be done because the information "is not held in that form and would require considerable technical expertise to create". Sarah Dalton and the association, the senior doctors' union, were critical of this. Union officials knew, for example, of shortages in psychiatry, and had heard anecdotal evidence of psychiatrists giving up permanent work for locum jobs, but there were gaps in knowledge in other areas. "That's an endless bugbear for us, that they [Health NZ] aren't doing sufficient work on their workforce, current or future planning, to have an intelligent or informed conversation about the state of the problem," Dalton said. "But, what we can see from this data is they are spending more and more money on locums. It is a wildly expensive way to staff hospital." Settling senior doctors' collective agreement claims would cost less than a quarter of the annual outsourced specialist spend, she said. An over reliance on locums led to lower productivity, while permanent staff were burdened with doing the tough shifts temporary workers turned down. "It's incentivising our senior doctors to pick up locum work at the expense of a salaried job. "We really need to turn that around and that's what we've been trying to do by trying to look at improved conditions, recruitment and retention payments, and bonuses for people who choose to work only in public [hospitals]." Health Minister Simeon Brown said locums play an important role. Photo: Nathan Mckinnon / RNZ Patient Voice Aotearoa's Malcolm Mulholland has heard at the advocacy group's nationwide roadshows endless stories about how staff shortages are affecting patients and the health workforce. "The sad picture that it paints is that it's a horrific cost and one would have to think are these resources best allocated elsewhere in the health system? "I can't help but think that perhaps we need to bolster something like the bonding system in hard-to-staff areas, which is traditionally where locums are needed." Health Minister Simeon Brown said his priority was to make sure patients received the care they needed, where they needed it. "Locums play an important role in keeping services running, especially in hard-to-staff areas, but ultimately, we want more permanent staff delivering care across New Zealand," he said. "Since 2023, we've grown our health workforce, with over 1700 more nurses and more than 200 additional doctors employed by Health New Zealand as at December last year. "That's real progress, but there is more to do." Brown said the challenge wasn't unique to New Zealand and there was a "global war for talent in healthcare". Given the better pay rates and flexibility, even D'Souza had considered joining the army of temporary medical specialists. "I think that's definitely a thought that's occurred to all permanent staff and it goes back to that there's probably no great incentive to be permanently employed. "All of us are probably sticking at it because of the goodwill we have towards our community, towards our patients." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.